羊水栓塞致心脏停搏抢救的有效护理  

Effective nursing care of cardiac arrest rescue caused by amniotic fluid embolism

作　　者：熊燕黎[1] 宋成文[1] 刘烩[1] 

机构地区：[1]广州军区武汉总医院妇产科,430070

出　　处：《中国实用护理杂志》2014年第2期25-27,共3页Chinese Journal of Practical Nursing

摘　　要：目的介绍羊水栓塞至心脏停搏抢救成功的护理体会。方法对我科2012年1~8月发生的3例羊水栓塞致心脏停搏孕妇实施抢救措施：观察产程，呼吸机辅助呼吸，迅速建立静脉通道，抗休克，预防弥漫性血管内凝血和肾功能衰竭，并进行护理观察。结果3例孕产妇在及时抢救和精心护理下均转危为安，康复出院。结论羊水栓塞是产科最严重、最急剧、最难控制的并发症，关键在于预防，一旦发生羊水栓塞，医护人员都需要冷静沉着组织抢救工作，实施有效的护理措施。Objective To report successful nursing experience of cardiac arrest caused by amniotic fluid embolism. Methods 3 pregnant women with cardiac arrest caused by amniotic fluid embolism from January to August 2012 were successfully rescued, the nursing measures included observation of labor course, mechanical ventilation, rapid establishment of intravenous injection route, anti-shock and preven- tion of DIC and renal failure. Results 3 cases of pregnant women were given timely rescue and pulled through. All rehabilitated and were discharged. Conclusions Amniotic fluid embolism is the most seri- ous, dramatic, and the most difficult to control complications in obstetric department. Prevention is the key for amniotic fluid embolism,once happened, medical workers should carry out rescue work calmly and im- plement effective interventions.

关 键 词：羊水栓塞 心脏停搏 抢救与护理 

分 类 号：R473.71[医药卫生—护理学]